how long to use vaseline after mohs surgery

Uneven nostrils after Mohs surgery can be a frustrating experience for some people. Keep it covered with a bandage and make sure that you apply sunscreen on any other exposed skin, including your face, neck, back of hands, arms and legs. Proper wound care, temporary limitation of activities, patience with the healing procedure and vigilance as well help reduce the risk of scarring and recurrence. For your Los Angeles facial cosmetic surgery, contact us today, and enjoy professional Mohs surgery aftercare services. Removing the malignant tissue and closing up the surgical wound are quick. Wound dehiscence is another concern as it can cause further damage when infected. Sunscreen will also help protect against future skin cancers. (n.d.). Infection is not common when the wound is well cared for. When treatingan surgical incision site or wound, Dr. Mamelak typically recommends purified petroleum jelly, or Aquaphor healing ointment. Contact us today! Petroleum jelly: A novel medium for ocular ultrasound. The timing and extent of reconstruction tin likewise touch the duration of healing and recovery. Proper wound intendance at home as well helps prevent these problems. Itll act like a lubricant, making it easy to remove the lightbulb the next time you change it. While using hydrogen peroxide should cease 2 weeks post operation; continue to apply Aquaphor until your follow up appointment with your dermatologist or doctor who performed Mohs procedure. 35 practical ways to use vaseline during the winter months. Its the same exact trick they use at hair salons! How Long Should You Use Vaseline After MOHs Surgery? In addition to keeping your wound clean, Vaseline offers a protective layer to the wound and stimulates healing by reducing the effects of infection. Vaseline can be part of a regular skin care routine for people with oily skin. when can i wear makeup after mohs surgery. At the start of the procedure, the Mohs surgeon will marker the incision site, clean it and inject local anesthesia. To give your incisions their best chance at a healthy recovery, post-operative care is essential - and Vaseline has become a key element in that process. The makers of Vaseline assure customers that their product is safe to use on the eyelids and around the eyes. Its also free of flavors and perfumes, so most people dont need to worry about getting an allergic reaction from using it. It takes six months to a year for the scar to fully heal, said Dr. Platzer. Once the site is numb, the medico will scrape off the bulk of the tumor then cutting out the first layer of cancerous tissue. Dab it along your cheekbones to give cheeks a healthy-looking glow. DOI: Sethi, A, et al. How often should I apply Vaseline? We all know you can use Vaseline to help repair chapped lips, but it can be used for so much more than that. Apply ice packs to reduce swelling. Then rub a tiny bit of Vaseline between your fingers and apply sparingly to the flyaway hairs to keep them in check. Wash it out with shampoo when youre ready. Receiving treatment for another type of cancer, Intake of immunosuppressive medications, e. 1000. in an organ or tissue transplant patient, Illnesses that compromise the allowed arrangement, e.g. The needle prick from injecting the numbing medication is tolerable. Nearly patients are advised to refrain from strenuous activities in the first 1-two weeks after a Mohs procedure. The most reliable way to remove a cyst is to have your doctor do it. Some good reasons to use Vaseline as a moisturizer include its: availability and low cost. Keep the Wound Covered with a Bandage. ability to . In most cases you can safely start showering around 24 hours after having Mohs surgery. Source: For the first 48 hours after Mohs surgery, or until your doctor has instructed, you should wear a pressure dressing over the surgical site. However, if you have acne-prone skin, you should avoid putting Vaseline on your faces. The best way to improve scarring is to apply sunblockdaily and reapply every two hours. Dr. Chen advises looking for mineral-based sunscreens that use ingredients like zinc or titanium dioxide. Vaseline is known for its occlusive properties, which provides a protective layer between skin and the outside world. Along with the causes of dark, Split nails are often caused by an injury such as a stubbed toe or receiving a severe blow to a finger or thumb. Research suggests that Vaseline is a safe and affordable at-home preventive treatment for infants showing signs of eczema. With a 99% cure rate, Mohs surgery is one of the most effective ways to treat patients with skin cancer. Petroleum is the main ingredient of Vaseline. Are your kids bummed out because theyre stuck at home during the holiday break? This is not to be used for diagnosis or treatment of any medical condition. Swelling and bruising are common following Mohs Surgery, particularly when surgery is performed around the eyes. Hypersensitivity to the medications during and subsequently Mohs surgery. Vaseline is the name of a popular brand of petroleum jelly. Engelbert PR, et al. While petroleum jelly is effective at keeping the skin moist, unfortunately, its quite greasy and heavy, and can stain clothing. EnglishEspaol (Spanish)Hmoob (Hmong) (Chinese)Deutsch (German) (Arabic) (Russian) (Korean)Ting Vit (Vietnamese)Deitsch (Pennsylvania Dutch) (Lao)Franais (French)Polski (Polish) (Hindi)Shqip (Albanian)Tagalog (Tagalog Filipino), Language Access: Notice of Nondiscrimination. Trying to get rid of dark circles under your eyes? After having facial reconstruction surgery Los Angeles, it is important to make Vaseline part of the post-surgery care. Vaseline, Aquaphor, Polysporin) is a good idea. Change your dressing once a day. However, if the scar is not dry and you do not note any scabformation, then simply apply sunblock. We blend experience, education, technology, compassion, and exceptional skills to provide you with an unparalleled quality of care. Additionally, certain patient factors can deadening down recovery from Mohs surgery. At BHSkin Dermatology, our medical experts understand the impact of such information on treatment decisions. Doing so may trigger breakouts and can make acne worse. Mohs surgeries can range about $1000-$2,000. Mohs surgery is a minimally invasive procedure that offers the best take a chance of returning to normal life after a peel cancer diagnosis. The surgeon will leave a pressure dressing in identify to assist close the wound properly. While youre at it, use your leftover cosmetic jars to mix together Vaseline and glitter (or glittery eyeshadow). Rosacea is a common inflammatory skin condition. Its success depends on both the expert'southward skill and the patient'south diligent adherence to the post-surgical plan. Cost-effectiveness of prophylactic moisturization for atopic dermatitis. DOI: How to treat dry skin around the eyes. (2017). By following your doctor's post-treatment instructions carefully, recovery from Mohs surgery can be problem-costless. Source: It is essential to apply Vaseline to a wound, three to four times a day, which prevents the formation of scabs. Avoid sun exposure, which may produce a big scar or pigmentation problems in the expanse. While it may not be practical for everyday use, you can seal moisture in using Vaseline on your face without irritating your skin. If you're interested in adding retinol to your skin care routine, we've got you covered with our top picks for retinol creams for all skin types. Flickr/Julian Burgess, Flickr/Frederick Dennstedt Flickr/Steve Johnson, Flickr/Marco Verch Source: Vaseline keeps your skin from losing moisture, so certain blended petroleum jelly products may be more effective at actually moisturizing. begetting weight) on the postop wound also filibuster skin repair. Pulling off scabs can slow recovery and increase the risk of infection. Mineral sunscreens contain inorganic ultraviolet (UV) filters that offer broad-spectrum UV coverage. But you should already be looking at what type of sunscreen is right for you. This helps keep your wounds moist, speeds healing, and prevents scarring and itching. Today, there are hundreds of sunscreen products to choose from; they come in a wide range of SPF and are available as creams, lotions, and sprays. Source: But what's healing after having Mohs surgery on the face like? Mostly, the post-obit measures are included: Diligent postop wound intendance improves your chances of a speedy recovery and good corrective outcome. The good news is that there is a safe treatment called hyperbaric oxygen therapy (HBOT) that can accelerate and improve your wound healing after Mohs surgery. Self-examination can aid you lot spot a recurrence or distant spread even before your scheduled follow-up visit. This handout tells you how to care for your wound or sutures once you are home. No swimming or use of hot tubs until your wound is fully healed. DOI: Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. This article explains the most of import aspects of the Mohs surgery recovery process to guide and empower patients considering this therapeutic option. Dab some Vaseline on your sunglasses and use a soft cloth to buff away unwanted smudges, fingerprints, and scratches. Some patients require radiotherapy or chemotherapy right subsequently Mohs surgery. Its a mixture of minerals and waxes that are easily spreadable. Vaseline can be used as an everyday moisturizer for very dry skin. It is essential for faster healing to keep the affected area moist, with more than 50% of wounds taking a shorter time to heal if kept in a moist environment. Not only will it help keep his feet hydrated, but itll also prevent things like snow, rock salt, or a totally random candy cane from irritating his toes. Patience is key during healing; allowing wounds enough time to heal properly while taking the recommended precautions will go a long way in minimizing scarring after Mohs surgery. ENT/Allergy Relief, Nasal Breathing, & Sinus Relief. DOI: aad.org/public/skin-hair-nails/skin-care/petroleum-jelly, health.harvard.edu/diseases-and-conditions/a-deeper-look-at-psoriasis, What Vaseline Can and Cant Do for Eyelashes, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Everything You Need to Know About Petroleum Jelly, Hydrating and Moisturizing Arent the Same for Your Skin Heres Why, How to Get Rid of Dark Circles Permanently. The answer is yes, it's generally safe to shower after getting a Mohs procedure done, provided that you keep your surgical area dry and follow your doctor's post-operative instructions. Lee M. (2014). You can do this by using Vaseline after gently cleansing your skin. In addition, strenuous activity that increases your heart rate could cause the wound to bleed. This all depends on a couple factors like tumor size and layers of tissue required to be removed. The highest priority of Westside Face is protecting the health of our patients, staff, and community. HF#4251. Unless your doctor tells you otherwise, you may take both Tylenol or ibuprofen to help control your pain. You can apply Vaseline to small cuts, scrapes, and scratches. If you've recently undergone Mohs surgery, you may be wondering if you can take an immediate shower afterwards. Use Vaseline on your inner thighs or under your boobs if you tend to suffer from skin chafing in these areas. Source: Apply an antimicrobial solution before dressing the wound over again. Once the site is numb, the doctor will scrape off the bulk of the tumor then cut out the first layer of cancerous tissue. If you have an emergency, please call 911. If youre out of heat styling spray, no worries, Vaseline will do the job in a pinch. 5 ways to use petroleum jelly for skin care. Do you want to have thick, full eyebrows like all the beauty influencers? Wipe off excess with a soft paper towel before dressing to avoid feeling greasy and staining your clothes. Usually a few weeks of light massage with your fingertips does the trick, but follow the instructions provided by your dermatologist. This not only helps reduce pain, but also the chances of infection and dehydration, as well as improves the rate at which your skin regenerates cells. Sethi A, et al. There are, however, other causes of. (2017). Since you have already had at least one incidence of skin cancer, you may be vulnerable to develop more skin cancers in the future. The good news is that applying sunscreen to the affected area will have an additional therapeutic benefit: Scars and surgical wounds will sometimes become darker when exposed to sunlight, and using sunscreen over the wound as its healing can help minimize this effect. Even so, complex scars need revision procedures, which are in the realm of plastic surgery. Itll make you sparkle like a goddess at music festivals and parties! I hope this helps. Available for purchase only at a doctors office, Silagen can be found at any Waters Edge Dermatology office. Then try coating the posts with Vaseline before you slip them through the hole. Start by gently removing the old bandage and then washing the area with a cotton ball, gauze or Q-tip using a mixture of 12 water and 12 peroxide. Its smooth sailing from now on! Traditionally the answer is no. You can learn more about how we ensure our content is accurate and current by reading our. Moisturizers: The slippery road. But this is not always advocated. After the 48-hour mark, you may shower with the dressing in place and then remove it. Flickr/Quinn Dombrowski Vaseline is safe to use, even if you have oily skin. The truth is, each surgeon recommend a slightly different approach to wound care in the post-op period, says Dr. Adam Mamelak, board certified dermatologist and fellowship trained Mohs Micrographic surgeon in Austin, Texas. , it is essential to clean the wound twice in a day, either in water or hydrogen peroxide. If you tend to get annoying little bumps on your skin after every shave, then massage a thin layer of Vaseline all over it. At Westside Face, it is our highest priority to protect the health of our patients, staff, and community. If you buy through links on this page, we may earn a small commission Heres our process. If your skin is looking a little bit dry and sallow this winter, spruce it up with some Vaseline. (2016). It's hard to predict how long Mohs surgery will last. After the two weeks it is your choice. Derick Dermatology 1600 North Randall Rd, Unit 400 Elgin, IL 60124. Similarly, swelling and bruising may occur down the neck, and rarely the chest, when surgery is performed on the chin or jawline area. Its especially handy for the thin skin on your eyelids. The best face moisturizer is one that fits with your skin type. If you dont have any WD-40 handy, try dabbing some Vaseline on it to get the parts moving again. Vaseline is a whitish-yellow mix of petroleum-based mineral oils and waxes. Mohs surgery is a skin cancer removal procedure that spares equally much good for you tissue equally possible. Answer: Vasoline on a scar post mohs We customarily advised a two week course of an ointment based topical agent after a surgical procedure. It is also important to take care not to overexpose the wound to direct sunlight, since this will increase its visibility over time. Limit use of over-the-counter Tylenol (acetaminophen) if you are given a prescription that has acetaminophen in it. Its even a favorite for some as a moisturizer. Sunscreen should be used on scars after healing. While you might wish it werent so, the skin around your eyes is one part of your body that can show the earliest signs of premature aging. DOI: Tam, CC, et al. According to the American Academy of Dermatologists, Vaseline can trigger outbreaks if you have acne-prone skin. Czarnowicki, T, et al. To make the best use of Vaselines barrier effect, at least one renowned dermatologist recommends using it as a makeup remover every night and thoroughly wiping off the excess product. There's one foolproof way to get softer lips and it's ridiculously cheap. If the scar tissue is inflamed and a little hard, massage will help settle it down, said Dr. Platzer. Big or complex surgical wounds will be closed temporarily and referred to a reconstructive surgeon for delayed repair. Gently wash with soap and water, then rinse and pat dry. This can help the skin retain its moisture and act as an at-home treatment for dry skin. when can i wear makeup after mohs surgery. Itll help create a barrier thatll keep your ears from getting irritated by the metal. You can increase Vaselines moisturizing effects by applying it immediately after you leave the shower or bath. I do not have my mohs patients use any ointment after the first week for most wounds. This procedure is one of the, 784 Central Avenue, Dover, New Hampshire(603) 742-5556, 2299 Woodbury Ave, Suite 3 The Beane Farm, Newington, NH(603) 742-5556, 23 Centennial Drive, Peabody, MA(978) 525-0100, 1C Commons Drive, Suite 16, Londonderry, NH(603) 742-5556, 160 South River Road, Suite 2400, Bedford, NH(603) 742-5556, If your desired appointment type or preferred provider is unavailable online, kindly call (978) 525-0100 for Peabody, MA and (603) 742-5556 for all New Hampshire locations. Vaseline forms a protective layer that seals the area of your skin where you apply it. Whatever you do, dont ever get glitter near your eyes as it can cut into your cornea. From "slugging" your face to pampering your pooch, here are 35 . If you want to keep them as soft as can be, make sure that you massage Vaseline into these areas as part of your daily beauty routine. Silicone-based treatments are highly effective in preventing excessive scar tissue growth. Ointments based on petroleum jelly like Vaseline are ideal care options. Your surgeon will hash out these risks with you earlier consenting to the procedure. Ice should be placed in a plastic bag then wrapped in a towel and applied to the bandaged wound. This type of dressing helps protect the wound from dirt while also . Vaseline is both gentle and hydrating on the delicate eye area, just make sure you dont get any into your eyes as you wipe away the mascara. These picks are great for dry, oily, sensitive, and mature skin. (2016). What should I expect for after care needs? Mix everything in a bowl and work it into your hair. Flickr/Fiona Henderson, Pinterest/Budget Savvy Diva Vaseline is a thicker oil than many of the other lubricants on the market, and it is also very inexpensive. They include, but are not limited to the following: However, in the hands of highly-trained experts, the risks of Mohs surgery become insignificant. Additionally, entrusting it to our skincare experts at BHSkin Dermatology guarantees the best therapeutic and cosmetic results. Even if you aren't undergoing general anesthesia, smoking can delay healing and cause other post-operative complications. Do you have a raw, red nose thats starting to look a bit like Christmas? Eiza Gonzlezs Plastic Surgery: An Eye-Catching Beauty Evocation! You can learn more about how we ensure our content is accurate and current by reading our. Because each persons health needs are different, you should talk with your doctor or others on your health care team when using this information. But unlike other forms of petroleum, Vaseline is safe to use on your skin and hands. Give dry, cracked heels some extra TLC by glopping a thick layer of Vaseline onto your feet before bed. After the sutures are removed, its important to use a broad spectrum sunscreen with SPF 30 or higher every day to prevent the new skin from darkening due to ultraviolet light exposure. West Dundee. Source: CORONAVIRUS 2019 (COVID-19) Typically we will advise bacitracin or aquafor, but vasoline is acceptable as well. Mix together water, glitter, Vaseline, and some clear glue in a bowl, and itll soon be like putty in your hands. Apply ice in intervals of 20 minutes every two hours throughout the day after surgery, Elevate the area where the surgery was conducted with an extra pillow when lying down or sleeping. It is the golden standard of treatment for not-melanoma skin cancer because of its advantages. Source: Vaseline is safe and even recommended for use on dry skin. Besides offering a significantly higher cure rate than traditional skin cancer surgery, Mohs limits scarring and reduces the likelihood of needing additional treatment. Flickr/Dennis Sylvester Hurd, Instagram/flypanadam If scar revision treatments are being considered, it is essential to wait until healing is complete before exploring these options in order to reduce further risk of damage. • Plan to avoid strenuous physical activity for 2 weeks. They may also cause constipation. Waters Edge Dermatology is a leading full service dermatology practice providing medical dermatology, surgical dermatology, pediatric dermatology, cosmetic dermatology, skin cancer treatment, and plastic surgery, and Vein Centers. If winter weight gain is making your fingers swell up like a holiday sausage from Hickory Farms, that can certainly put a pickle in your ring-removing efforts. You lot are in good easily at BHSkin Dermatology. can quickly regenerate, which increases the healing speed. The patient's health status can also influence the speed of wound healing. Click here to read more. I encourage all patients to use either Vaseline or Aquaphor for at least 2 weeks post procedure. If its on the face, in a non-tension-bearing area, a few days to a week should suffice. Do not do heavy activity for the first 2 days or as instructed. Avoid bending with your head below heart level. Following Mohs surgery, it is highly recommended that you use a thin film of Vaseline on the wound site 3-4 times daily for up to three weeks. Important information about Coronavirus 2019 (COVID-19):LEARN MORE. Our commitment extends beyond quality products we strongly value customer satisfaction above all else. There are a lot of different kinds of sunscreen on the market today, but they are not all created equal, Dr. Marchell says. After Mohs surgery, there are several potential complications to watch out for. Once finished, make sure to carefully pat down your tender skin with a light touch and use a clean towel for drying off. Neosporin is known to be one of the most common agents to cause an allergic contact dermatitis rashes on the skin. Pay close attention to alcohol consumption 48 hours post-op since this can also interfere with proper wound healing. It doesnt matter if youre going to be outside for a few hours or just a few minutes. Mix 2 tablespoons of Vaseline with 1 tablespoon of sea salt, then rub the mixture in a circular motion all over your body. Chemical sunscreens can cause photo-allergic contact dermatitis and recent studies showed active ingredients in chemical sunscreen were found in the blood with plasma concentration surpassing the safety threshold set by the US Food and Drug Administration. You could leave the initial bandage applied at the clinic for the first 24 hours. It is essential for faster healing to keep the affected area moist, with more than 50% of wounds taking a shorter time to heal if kept in a moist environment. Source: Apply Vaseline (white petrolatum) in a thin layer. Ask for the Dermatology or Mohs Surgery doctor on call. Your surgeon may prescribe an oral antibiotic to prevent pare infection. Vaseline is also good for treating mild cases of windburn. Removal procedures may only worsen the scarring if done prematurely. It can help to reduce friction between the metal parts, which makes the object . I think one of the most telling ways to tell if a therapy is "the best" is to survey what "doctors do" when they need a treatment. A good application of Vaseline maintains a conducive level of moisture around the wound, making a recovery as quick as 1 to 3 weeks, depending on the type of surgery. Be sure to apply Vaseline to areas that are prone to getting wind chapped. Wound Care Steps after Skin Biopsy. Before showering, carefully remove the bandage and discard it in the trash. Discharge pain medicine: _______________________________. Flickr/Michael Stillwell, Flickr/Anders Sandberg grand. Since most cases of Mohs surgery are performed on the face, it usually isn't too hard to avoid the treated area when showering. Not only will it help soothe the soreness, but itll give your skin a chance to heal as well. Patients generally leave an entire 24-hour interval open when scheduled for Mohs surgery. Many would think that best care involves coating the wound with an antibiotic ointment, like Neosporin or Polysporin. Still, at the finish of your session, you lot will be reminded to call your doctor for intolerable side furnishings. Yes, you can use Vaseline or petroleum jelly as a lubricant for metal. Last medically reviewed on June 24, 2019. For at least 24 hours after the surgery, the wound should be kept dry. So, it is best to wait until the sixth month later your Mohs surgery to assess the need for more ambitious scar treatments. Keep the dressing clean and dry and in-place for 48 hours. 2023 Shareably Media, LLC. If you have a sudden increase in pain that is not helped by pain medicines and ice compresses, please call the clinic where you were seen. Leave your name and phone number with the area code. Applying ice for twenty minutes several times a day, elevating the surgical area, and keeping the wound completely dry for 24 to 48 hours afterwards are also important for aftercare. If you have very oily skin, its recommended not to use Vaseline unless you cleanse your skin first, as it may increase acne. If it remains on the wound, it will dissolve over time. Cold winter weather can make doors and locks jam up like crazy. It is best to take narcotics with food to prevent nausea/vomiting. Since the incision site is covered after the surgery, you wont have to be concerned about using sunscreen on the affected area right away. After every Mohs procedure you should be provided with written and verbal instructions about wound care so you should have crystal clear directions on how to care for the wound. Clean & Bandage the Wound Leave the initial bandage in place and keep the area completely dry for 24 hours unless otherwise advised. Contact U.S. Dermatology Partners today to make an appointment with one of our board-certified dermatologists. Knowing what to look for is the first step in narrowing down your choices, and that likely is going to require some homework on your end. Write by: . If you have any questions after you go home, please call the phone number at the end of this handout. Source: Instructions beginning 48 hours after your MOHS Surgery Begin daily (or twice daily) dressing changes 48 hours after MOHS surgery as follows: Wash your hands prior to removing the bandage. Three or four hours or longer is common. Our doctors volition give you a quick, thorough check before clearing you for driving and sending you lot home. How long youll need to wait before returning to your exercise routine depends on the location of the incision. The recovery process is typically uneventful, although various factors brand the experience unique for every patient. But now that youve had surgery, the recommendations are urgent warnings. Cover your wound with a clean bandage. Some good reasons to use Vaseline as a moisturizer include its: While Vaseline has been proven to be one of the most effective skin moisturizers available, experts acknowledge it has several limiting factors. kitten died after deworming Uncategorized. DOI: Goncalves, MMBdMM, et al. The most important concerns that your Mohs surgeon will discuss with y'all are the post-obit: Proper wound intendance prevents complications. Petroleum forms a tight waterproof barrier when applied to the skin. Mohs surgery is a minimally invasive procedure that offers the best take a chance of returning to normal life after a peel cancer diagnosis. We avoid using tertiary references. You dont want to overdo it because you can pop a suture or stretch the wound site, said Dr. Platzer. Source: https://bhskin.com/blog/mohs-surgery-recovery/, How Long To Use Vaseline After Mohs Surgery. Our team thoroughly researches and evaluates the recommendations we make on our site. Wounds on the arm or leg may heal more slowly than other areas. One of our local team members will reach out to you shortly to answer your questions or schedule an appointment for you to visit us soon. In case youre wondering, its called slugging because it makes your face look like youve been slimed by a slug bug (no punch backs allowed). 6, Bee Cave, TX 78738 - (512) 366-8568, 701 Metairie Road, Metairie, LA 70005 - (504) 836-2050, 3434 Prytania St., New Orleans, Louisiana 70115 - (504) 897-5899, 111 Veterans Boulevard, Metairie, LA 70005 - (504) 838-8225, 1900 Saint James Place, Houston, TX 77056 - (713) 850-0240, 12319 North Mopac Expressway, Austin, Texas 78758 - (512) 837-3376, 3705 Medical Parkway, Austin, Texas 78705 - (512) 454-3781, 13830 Sawyer Ranch Road, Dripping Springs, TX 78620 - (512) 829-0009, 1601 E. Pflugerville Parkway, Pflugerville, Texas 78660 - (512) 252-3700, 5145 North FM 620 Rd, Austin, Texas 78732 - (512) 266-0007, Dripping Springs Clinical Research Trials.

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